Evaluation of Nutritional Status in Turkish Adolescents as Related to Gender and Socioeconomic Status

Objective: To evaluate the nutritional status of Turkish high school adolescents using anthropometric indicators and to determine the relationship of nutritional status with gender and socioeconomic status (SES) in adolescents

The knowledge and attitudes of breast self-examination and mammography in a group of women in a rural area in western Turkey

BACKGROUND: Breast cancer appears to be a disease of both the developing and developed worlds. Among Turkish women, breast cancer is the second leading cause of cancer-related deaths. The aims of this cross-sectional study were to determine levels of knowledge about breast cancer and to evaluate health beliefs concerning the model that promotes breast self- examination (BSE) and mammography in a group of women aged 20–64 in a rural area of western Turkey. METHODS: 244 women were recruited by means of cluster sampling in this study. The questionnaire consisted of sociodemographic variables, a risk factors and signs of breast cancer form and the adapted version of Champion's Health Belief Model Scale (CHBMS). Bivariate correlation analysis, Chi square test, Mann-Whitney U test and logistic regression analysis were performed throughout the data analysis. RESULTS: The mean age of the women was 37.7 ± 13.7. 49.2% of women were primary school graduates, 67.6% were married. Although 76.6% of the women in this study reported that they had heard or read about breast cancer, our study revealed that only 56.1% of them had sufficient knowledge of breast cancer, half of whom had acquired the information from health professionals. Level of breast cancer knowledge was the only variable significantly associated with the BSE and mammography practice (p = 0.011, p = 0.007). BSE performers among the study group were more likely to be women who exhibited higher confidence and perceived greater benefits from BSE practice, and those who perceived fewer barriers to BSE performance and possessed knowledge of breast cancer. CONCLUSION: By using the CHBMS constructs for assessment, primary health care providers can more easily understand the beliefs that influence women's BSE and mammography practice

ENURESIS NOCTURNA: PREVALENCE AND RELATED FACTORS IN 5-16 YEARS OLD CHILDREN IN A SHANTY AREA OF MANISA

Amaç: Enürezis tüm toplumlarda yaygın olarak görülen bir sağlık sorunudur. Bu çalışmanın amacı bir gecekondu bölgesinde 5-16 yaş grubunda enuresis nokturna prevalansı, etkili risk faktörlerini belirlemek ve yaşam kalitesi ile ilişkisini değerlendirmektir. Gereç ve yöntem: 294 kişide yürütülen kesitsel çalışmada küme örnekleme yöntemi kullanılmıştır. Çocuk ve ergenlere ait veri annelerinden yüz yüze görüşme yöntemi ile toplanmıştır. Sosyodemografik değişkenler, enürezis nokturna ile ilgili risk faktörleri ve Türkçe adaptasyonu yapılan Kiddo-Kindl ile Kiddy- Kindl yaşam kalitesi ölçeklerinden oluşan anket formu ile veri toplanmıştır. Veri analizinde ki kare, t testi ve çok değişkenli analizlerde lojistik regresyon analizi kullanılmıştır. Bulgular: Araştırmada enürezis nokturna prevalansı %27,5'tir. Enürezis nokturna günlük idrar yapma sayısı sekiz ve daha fazla olan çocuklarda 3,5 (1,1-10,8), tuvalete yetişememe durumunda 10,5 (3,8-29,2), tuvalet eğitiminde yanlış yöntemlerin kullanılması durumunda 2,3 (1,1-4,6), ilk alt ıslatmada ailenin cezalandırıcı yaklaşımında 2,2 (1,2 - 4,5) ve uykusu derin olan çocuklarda 2,3 (1,1 - 5,2) kat daha fazla görülmektedir. 5-7 yaş grubunda yaşam kalitesi ile enürezis nokturna arasında anlamlı ilişki bulunmamıştır. 8-16 yaş grubunda ise sadece özsaygı alanında puan ortalamalarının farklı olduğu belirlenmiştir. Sonuç: Enürezis nokturna prevalansı, gecekondu bölgesinde %27,5 ile dikkat çekici bir sıklıktadır. Farklı yerleşim birimlerinde yürütülecek çalışmalarla enürezis nokturna ve yaşam kalitesi arasındaki ilişkinin incelenmesine gereksinim vardır. Objective: Enuresis appears to be a health problem in every population. The aims of this study were to determine enuresis nocturna prevalence, risk factors and the relations with quality of life in a group of children and adolescents aged between 5-16. Material and method: 294 children and adolescents were recruited by means of cluster sampling in this cross-sectional study. The questionnaire consisted sociodemographic variables, risk factors of enuresis nocturna and an adopted version of Kiddo-Kindl, Kiddy- Kindl quality of life scales. Chi square test, t test, logistic regression analysis were performed in the data analysis.Results: Enuresis nocturna prevalence was 27.5%. It was 3.5 (1.1-10.8) times higher if daily urination number was ≥8, 10.5 (3.8-29.2) times higher in urge incontinence, 2.3 (1.1- 4.6) times higher if wrong methods were used in toilet training, 2.2 (1.2-4.5) times higher if the child was punished in the first bed wetting episode and 2.3 (1.1-5.2) times higher in deep sleep. There was no statistically significant relation between enuresis nocturna and quality of life in 5-7 age group. Self-respect was the only domain that was statistically significant in 8-16 age group. Conclusion: Enuresis nocturna prevalence is significant with 27.5% in shanty area. Further research is recommended in different areas to determine the relation between quality of life and enuresis nocturna

Osteoporosis and quality of life in women

Osteoporoz gibi kronik hastalıklarda tedavinin temel amacı hastanın yaşam kalitesini beklenen düzeye getirmektir. Osteoporotik hastaların yaşam kalitesi ve yeti yitimi düzeyini belirlemek amacıyla yapılan bu çalışmada Celal Bayar Üniversitesi Hastanesi Nükleer Tıp Anabilim Dalı 'na başvuran 100 kadın araştırma grubunu oluşturmuştur. Araştırma grubunun %66.0'ı 50 yaş ve üzeri gruptadır ve %34.3 'üne osteoporoz tanısı konmuştur.İlk adet yaşının daha geç oluşu ve postmenopozal dönemin uzunluğu osteoporoz açısından risk faktörü olarak belirlenmiştir. Yeti yitimi ölçeği uygulandığında hastalığın şiddeti ile uyumlu olarak yeti yitiminin arttığı belirlenmiştir(p=0.006).Yaşam kalitesi ölçeğinde sorgulanan alanlar içinde bedensel sağlık alanı osteoporozlu hastalarda düşük çıkmıştır. Yaşam kalitesini değerlendiren yeti yitimi ve WHOQOL-Bref ölçeğinde bedensel sağlık alanında yeterli korelasyon saptanmıştır(r=-0.716). Osteoporozla ilişkili faktörler açısından en önemli değişkenin menopoz süresi olduğu, osteoporozlu hastalarda özellikle fiziksel yasam kalitesinin düştüğü sonucuna varılmıştır.In chronic diseases like osleoporosis, the main goal of the treatment is to raise patients life guality to the expected level.The aim of this study was to determine the life quality and the degree of disability in osteoporosis and 100 female who referred to Nuclear Medicine Department of Celal Bayar University,constituted the study group. Diagnosis of osteoporosis was made 34.3% of subjects.Late menarch and long postmenopausal period are both risk factors for osteoporosis. Disability scale was applied and it's found that.disability increased in accordance with the severity of osteoporosis (p=0.006). Physical health domain was low in osteoporotic patients. Significant correlation in physical health domain was found between disability and WHOOOL-Brefscales both of which are measurements for guality of life (r=-0.716) in our study ,it is concluded that the most important variable in the development of osteoporosis is the menopause age and in osteoporotic patients, especially the physical life guality goes down

Enuresis nocturna: Prevalence and related factors in 5-16 years old children in a shanty area of Manisa

Amaç: Enürezis tüm toplumlarda yaygın olarak görülen bir sağlık sorunudur. Bu çalışmanın amacı bir gecekondu bölgesinde 5-16 yaş grubunda enuresis nokturna prevalansı, etkili risk faktörlerini belirlemek ve yaşam kalitesi ile ilişkisini değerlendirmektir. Gereç ve yöntem: 294 kişide yürütülen kesitsel çalışmada küme örnekleme yöntemi kullanılmıştır. Çocuk ve ergenlere ait veri annelerinden yüz yüze görüşme yöntemi ile toplanmıştır. Sosyodemografik değişkenler, enürezis nokturna ile ilgili risk faktörleri ve Türkçe adaptasyonu yapılan Kiddo-Kindl ile Kiddy- Kindl yaşam kalitesi ölçeklerinden oluşan anket formu ile veri toplanmıştır. Veri analizinde ki kare, t testi ve çok değişkenli analizlerde lojistik regresyon analizi kullanılmıştır. Bulgular: Araştırmada enürezis nokturna prevalansı %27,5’tir. Enürezis nokturna günlük idrar yapma sayısı sekiz ve daha fazla olan ço¬cuklarda 3,5 (1,1-10,8), tuvalete yetişememe durumunda 10,5 (3,8-29,2), tuvalet eğitiminde yanlış yöntemlerin kullanılması durumunda 2,3 (1,1-4,6), ilk alt ıslatmada ailenin cezalandırıcı yaklaşımında 2,2 (1,2 – 4,5) ve uykusu derin olan çocuklarda 2,3 (1,1 – 5,2) kat daha fazla görülmektedir. 5-7 yaş grubunda yaşam kalitesi ile enürezis nokturna arasında anlamlı ilişki bulunmamıştır. 8-16 yaş grubunda ise sadece özsaygı alanında puan ortalamalarının farklı olduğu belirlenmiştir. Sonuç: Enürezis nokturna prevalansı, gecekondu bölgesinde %27,5 ile dikkat çekici bir sıklıktadır. Farklı yerleşim birimlerinde yürütülecek çalışmalarla enürezis nokturna ve yaşam kalitesi arasındaki ilişkinin incelenmesine gereksinim vardır.Objective: Enuresis appears to be a health problem in every population. The aims of this study were to determine enuresis nocturna prevalence, risk factors and the relations with quality of life in a group of children and adolescents aged between 5-16. Material and method: 294 children and adolescents were recruited by means of cluster sampling in this cross-sectional study. The questionnaire consisted sociodemographic variables, risk factors of enuresis nocturna and an adopted version of Kiddo-Kindl, Kiddy–Kindl quality of life scales. Chi square test, t test, logistic regression analysis were performed in the data analysis. Results: Enuresis nocturna prevalence was 27.5%. It was 3.5 (1.1-10.8) times higher if daily urination number was ≥8, 10.5 (3.8-29.2) times higher in urge incontinence, 2.3 (1.1-4.6) times higher if wrong methods were used in toilet training, 2.2 (1.2-4.5) times higher if the child was punished in the first bed wetting episode and 2.3 (1.1-5.2) times higher in deep main that was statistically significant in 8-16 age group. Conclusion: Enuresis nocturna prevalence is significant with 27.5% in shanty area. Further research is recommended in different areas to determine the relation between quality of life and enuresis nocturna

Disability and affecting factors in Manisa city center

Manisa kent merkezinde yetişkin yaş gurubunda yeti yitimi sıklığını belirlemek amacıyla bu araştırma yürütühnüştür.Kent merkezinde bulunan 9 sağlık'ocağı bölgesinden mahalle nüfuslarına orantılı küme örnekleme yöntemi kullanılmıştır. 1336 kişiden oluşan araştırma gurubuna Kısa Yeti Yitimi Ölçeği ve sosyodemografik özellikleri içeren bir anket formu yüz yüze görüşme yöntemiyle uygulanmıştir.Veri analizinde SPSS 10.0 istatistik programında %95 güven aralığında univariete ve multivariete risk yaklaşımı kullanılmış,çoklu analizlerde lojistik regresyon analizi uygulanmıştir. Araştırma gurubunun %23.9'unda hafif orta ve ağır derecede yeti yitimi olduğu belirlenmiştir. Çok değişkenli analizlere göre.yeti yitimi riskinin kadınlarda 1.57(1.10-2.22), 40.1-65yaş grubunda 3.00 (2.14-4.21),65.1 ve dahayaşlı grupta 6.14 (3.91-9.63),sosyal güvencesi olmayanlarda 1.65 (1.12-2.39) algılanan sağlık durumu kötüolanlarda 3.84 (2.78-5.29) katyüksektir.The aim of this study is to determine disability and affecting factors of adult population in Manisa city center. Study population is consisted 1336 adults and cluster sampling is performed according to percentage of nine health center district populations. Brief Disability Questionnaire and sociodemographic variables constitute the questionnaire.univariete and multivariete risk approach was performed by using SPSS 10.0 statistical package program in data analysis. Disability was determined 23.9% of study group.Disability risk in 95%CI was higher in women, 40 years and above , whose have no social security and whose dissatisfied percieved health status 1.57(1.10-2.22), 3.00 (2.14-4.21) and 6.14 (3.91-9.63), 1.65 (1.12-2.39), 3.84 (2.78-5.29) times respectively

Manisa çıraklık eğitim merkezinde 14-16 yaşındaki işçilerde yaşam kalitesi

Çocuk işçiliği ile ilgili literatürde daha çok sosyoekonomik faktörler tartışılmakta yaşam kalitesine ilişkin pek az çalışma bulunmaktadır. Bu kesitsel araştırmada Manisa'da 14-16 yaşındaki işçilerde yaşam kalitesi sosyoekonomik ve işle ilgili değişkenleri incelemek amaçlanmıştır. Manisa'da Çıraklık Eğitim Merkezi'ne devam eden 266 öğrenci çalışma grubunu oluşturmuştur. Araştırma grubunun yaşam kalitesi KINDL-R adolesan versiyonu ile değerlendirilmiştir. Veri analizinde %95 güven aralığında olasılık hızları hesaplanmış,çok değişkenli analizde lojistik regresyon analizi kullanılmıştır. 253 adolesan işçinin %77.9'u erkek, yaş ortalaması 15.6(0.5) dır. Lojistik regresyon analizine göre;kız cinste olmak (OR=2.9),ailenin sağlık güvencesinin olmaması (OR=2.3), aile içi şiddete maruz kalma (OR=3.7) ve işe devamsızlık (OR=2.4) toplam yaşam kalitesi ile ilişkilidir. Ailenin sağlık güvencesinin olmaması, aile gelirinin yetersizliği, alkol kullanımı, aile içi şiddete maruz kalma, iş doyumsuzluğu ve babanın eğitimsiz oluşu KINDL-R yaşam kalitesi ölçeğinin altı alanının kötü oluşuyla ilişkilidir. Bu çalışmanın sonuçlarına göre, adolesan işçilerin yaşam kaliteleri sosyoekonomik, aile ve işle ilgili değişkenlerle ilişkili bulunmuştur.Background: The literature related to child labor discusses the causes and socioeconomic factors contributing to child labor but very few studies examine the quality of life among child workers. The purpose of this cross-sectional study was to investigate the quality of life (QoL), socioeconomic and labor related factors in young aged 14-16 in Manisa city. Methods: The study population consisted of 266 students who were attending to Apprentice Training Center in Manisa. QoL of the subjects were measured by the adolescent version of KINDL-R (Kiddo-Kindl). Odds ratios (95% Confidence Interval) were used in the assessment. Logistic regression analysis was performed in multivariate analysis. Results: Of the 253 adolescent workers, 77.9% were male, with a mean age of 15.6(0.5). According to logistic regression analysis; being female (OR=2.9), lack of family health insurance (OR=2.3), being exposed to family violence (OR=3.7) and absenteeism (OR=2.4) were associated with total Qol. Lack of family health insurance, insufficiency in family income, using alcohol, being exposed to family violence, job dissatisfaction and father illiteracy were associated with poorer QoL of six domains of KINDL-R. Conclusion: The findings of this study concludes that, socioeconomic, family and job related variables are factors associated with QoL in adolescent workers

Evaluation of caregivers' burden of the patients receiving home health service in Manisa

Objective: The aim of this study is to evaluate the caregivers' burden and relevant factors who look after patients that receive home health service. Method: This cross-sectional study is conducted caregivers who look after home health service patients in years 2014-2016 in Manisa Şehzadeler. The study consists of 234 individuals. The participation rate is 83.5 %. A questionnaire which consists of sociodemographic factors, questions about the illness and Zarit Caregiver Burden Scale that evaluates caregivers' stress is applied to participants. Results: 67.7 % of caregivers have mild/ moderate/ severe burden, 87.4 % of them are women, 67.1 % of them are first degree relatives and 89.8 % of them are members of lower social class. Having the caregiver in the lower social class, having the patient's daughter-in-law, extended family structure and patient's bad health perception are the reasons that increase the caregiver's burden. Conclusion: 67.7 % of caregivers have mild/ moderate/ severe burden. Caregivers need to be supperted economically, socially and psychologically. It is also suggested that paid caregivers who cares patients at home should be promoted and additional studies should be carried out.</p

Acute Kidney Injury Incidence According to The RIFLE Criteria and Risk Factors in Critically Ill Patients

Objective: In our study, it was aimed to investigate the relationship between RIFLE classification and the risk factors such as acute renal failure incidence, kidney failure in terms of comorbid conditions, critical conditions before and after hospitalization, if any, genetic predispositions, drug use, scores on administration day to the hospital and mortality in intensive care unit patients. Material and Method: A total of 200 patients hospitalized in anesthesiology and reanimation intensive care unit (ICU) between March 1, 2012 and March 31, 2013 were prospectively evaluated. The patients with a history of established chronic renal failure or hemodialysis, under 18 years of age and the patients hospitalized in ICU less than 48 hours were excluded. Data of the patients regarding age, gender, body mass index (BMI), diagnosis at the hospitalization, history of any operation, smoking status, medications, durations of ICU stay and mechanical ventilation, SOFA and APACHE II scores on the 1st day, the worst RIFLE score during the hospitalization, medical status at the end were recorded. The patients whom creatinine levels were not increased significantly and/or GFR and urine output were not decreased were accepted as out of RIFLE. Results: Age, BMI, diagnosis at the hospitalization, smoking status, presence and duration of chronic disease, analgesia, antibiotic and diuretic usages, presences bleeding and hypotension episodes, mechanical ventilation and total ICU hospitalization durations, SOFA and APACHE II scores on the 1st day were found to be significantly related to RIFLE classification. Gender, history and type of operation, type of chronic disease, glucocorticoids, HES, radiocontrast drug administration, renal stone disease, familial renal disease history were not found significantly related. Increased RIFLE scores were found to be related with increased mortality. Conclusion: We concluded that recognizing the factors leading to renal injury/failure and usage of RIFLE classification in daily care of patients are important to decrease mortality and morbidity of ICU patients by increasing the awareness